How much rates vary
Facilitymedian $513 · 10th to 90th $209 to $832Professionalmedian $182 · 10th to 90th $148 to $263
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $154.88 Median $190.55 Typical High $426.58 | Facility | None | $154.88 | $190.55 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $245.47 | Professional | None (both parts) | $154.88 | $154.88 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $24.55 Typical High $30.90 | Professional | 26 · Professional part | $23.99 | $24.55 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $218.78 | Professional | TC · Technical part | $131.83 | $131.83 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $169.82 | $169.82 | $169.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $32.36 | $42.66 | $42.66 |
BCBS South Carolina Setting Facility Modifier None Typical Low $245.47 Median $512.86 Typical High $724.44 | Facility | None | $245.47 | $512.86 | $724.44 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | TC · Technical part | $302.00 | $302.00 | $302.00 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $154.88 Median $165.96 Typical High $218.78 | Professional | None (both parts) | $154.88 | $165.96 | $218.78 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $47.86 Typical High $61.66 | Professional | 26 · Professional part | $22.91 | $47.86 | $61.66 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $131.83 Typical High $158.49 | Professional | TC · Technical part | $112.20 | $131.83 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $602.56 Typical High $851.14 | Facility | None | $416.87 | $602.56 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $204.17 Typical High $302.00 | Professional | None (both parts) | $162.18 | $204.17 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.30 Typical High $46.77 | Professional | 26 · Professional part | $23.44 | $26.30 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $181.97 Typical High $263.03 | Professional | TC · Technical part | $138.04 | $181.97 | $263.03 |
Medcost Setting Facility Modifier None Typical Low $147.91 Median $173.78 Typical High $426.58 | Facility | None | $147.91 | $173.78 | $426.58 |
Medcost Setting Professional Modifier None (both parts) Typical Low $173.78 Median $223.87 Typical High $263.03 | Professional | None (both parts) | $173.78 | $223.87 | $263.03 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $42.66 Typical High $58.88 | Professional | 26 · Professional part | $26.30 | $42.66 | $58.88 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $229.09 Typical High $302.00 | Professional | TC · Technical part | $194.98 | $229.09 | $302.00 |
Molina Setting Professional Modifier None (both parts) Typical Low $125.89 Median $165.96 Typical High $245.47 | Professional | None (both parts) | $125.89 | $165.96 | $245.47 |
United Setting Facility Modifier None Typical Low $912.01 Median $1,096.48 Typical High $1,445.44 | Facility | None | $912.01 | $1,096.48 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $194.98 Typical High $323.59 | Professional | None (both parts) | $147.91 | $194.98 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.70 Typical High $43.65 | Professional | 26 · Professional part | $21.38 | $25.70 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $173.78 Typical High $288.40 | Professional | TC · Technical part | $125.89 | $173.78 | $288.40 |
7 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $75.86 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $30.90 | $31.62 | $31.62 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $109.65 Median $112.20 Typical High $151.36 | Professional | 51 · Multiple procedures | $109.65 | $112.20 | $151.36 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $43.65 Median $44.67 Typical High $60.26 | Professional | 80 · Assistant surgeon | $43.65 | $44.67 | $60.26 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $30.90 Median $31.62 Typical High $42.66 | Professional | 81 · Minimal assistant surgeon | $30.90 | $31.62 | $42.66 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $30.90 Median $31.62 Typical High $42.66 | Professional | 82 · Assistant surgeon, no resident | $30.90 | $31.62 | $42.66 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $30.90 Median $31.62 Typical High $42.66 | Professional | AS · PA/NP assist | $30.90 | $31.62 | $42.66 |
Where South Carolina sits
The same service costs 3.3 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
South Carolina· 35th of 51
$191
AK $417UT $126
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.